Individual provider Active NPI

Orna Daniel Goldwater, PHD

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1770595852
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1001392 Issued in DC
Practice address
3000 Connecticut Ave NW Ste 137B
Washington, DC 20008
Phone
(469) 556-7128
NPI assigned
Aug 13, 2006
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X PSY1001392 DC
Clinical Psychologist 103TC0700X PSY1001392 DC Primary
Counseling Psychologist 103TC1900X PSY1001392 DC
Clinical Child & Adolescent Psychologist 103TC2200X PSY1001392 DC
Health Psychologist 103TH0004X PSY1001392 DC

Addresses

Primary practice location

3000 Connecticut Ave NW Ste 137B
Washington, DC 20008

Mailing address

3000 Connecticut Ave NW Ste 137B
Washington, DC 20008-2549
Phone (469) 556-7128

Other names 1

  • Dr. Orna Daniel Goldwater Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070808000321 TX Practitioner - Clinical Psychologist 7113018979 Practice locations: Houston, TX
I20180924000147 DC Practitioner - Clinical Psychologist 7113018979 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Houston, TX 77056
Phone (202) 299-4009

1629 K St NW
Washington, DC 20006-1631
Phone (202) 299-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1001392DCMDClinical Child & Adolescent Psychologist
31826TXMDMedical Toxicology (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1770595852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW STE 137B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082549",
            "telephone_number": "469-556-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW STE 137B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20008",
            "telephone_number": "469-556-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWATER",
        "first_name": "ORNA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "DC",
            "license": "PSY1001392",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1001392",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DC",
            "license": "PSY1001392",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DC",
            "license": "PSY1001392",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "DC",
            "license": "PSY1001392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORNA",
            "last_name": "GOLDWATER",
            "middle_name": "DANIEL",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.